ArticleNature communications2019
Social networks and risk of delayed hospital arrival after acute stroke.
Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed.
- Stroke Survivor and Caregiver Perspectives on Seeking Emergency Medical Care.Journal of patient experience · 2026Article
- CFAST: a simplified and culturally adapted stroke education tool for Chinese communities.Frontiers in stroke · 2026Article
- Temporal trends and disparities in stroke and diabetes mellitus comorbidity-related mortality from 1999 to 2023.Scientific reports · 2025Article
- A pilot study to quantify and describe personal social networks in patients with glioblastoma.Neuro-oncology practice · 2025Article
- Article
- Self-advocacy positive perceptions and stage experiences in patients who had a stroke: a qualitative study in China.BMJ open · 2024Article
- Article
- Trends in Stroke Thrombolysis Care Metrics and Outcomes by Race and Ethnicity, 2003-2021.JAMA network open · 2024Article
- Stroke metrics during the first year of the COVID-19 pandemic, a tale of two comprehensive stroke centers.Scientific reports · 2023Article
- Article
- Article
- Dialysis Patients' Social Networks and Living Donation Offers.Kidney medicine · 2023Article
- Exploring Naturalistic Diffusion of an Evidence-Based Mental Health Intervention across Peer Networks of Youth in Sierra Leone.International journal of environmental research and public health · 2023Article
- Educational gradient in social network changes at disease diagnosis.Social science & medicine (1982) · 2023Article
- Article
- Delay of routine health care during the COVID-19 pandemic: A theoretical model of individuals' risk assessment and decision making.Social science & medicine (1982) · 2022Article
- Pre-Hospital Delay in Acute Ischemic Stroke Care: Current Findings and Future Perspectives in a Tertiary Stroke Center from Romania-A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2022Article
- An Analysis of Waiting Time for Emergency Treatment and Optimal Allocation of Nursing Manpower.Healthcare (Basel, Switzerland) · 2022Article
- Leveraging Social Networks for the Assessment and Management of Neurological Patients.Seminars in neurology · 2022Review
- Social networks of oncology clinicians as a means for increasing survivorship clinic referral.Communications medicine · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Arriving rapidly to the hospital after a heart attack or stroke is critical for patients to be within time windows for treatment. Prior research in heart attacks has suggested a paradoxical role of the social environment: those who arrive early are surrounded by nonrelatives, while those who arrive late are surrounded by spouses or family members. Here, we used network methods to more deeply examine the influence of social context in stroke. We examined the relationship of personal social networks and arrival time in 175 stroke patients. Our results confirmed the paradox by showing that small and close-knit personal networks of highly familiar contacts, independent of demographic, clinical, and socioeconomic factors, were related to delay. The closed network structure led to constricted information flow in which patients and close confidants, absent outside perspectives, elected to watch-and-wait. Targeting patients with small, close-knit networks may be one strategy to improve response times.
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